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Topic:Clinical Examination

Clinical examination in horses involves a systematic evaluation of the animal to assess its health status and identify any potential medical issues. This process typically includes a thorough physical assessment, which may cover observation of behavior and posture, palpation of body structures, auscultation of heart and lung sounds, and examination of the skin, eyes, and mucous membranes. Additional diagnostic tools such as thermography, endoscopy, or imaging techniques may be utilized to gather more detailed information. Clinical examination serves as a foundational step in veterinary diagnostics, aiding in the detection and management of diseases or injuries in horses. This page compiles peer-reviewed research studies and scholarly articles that explore methodologies, advancements, and findings related to clinical examination practices in equine medicine.
Upper and Lower Airways Evaluation and Its Relationship with Dynamic Upper Airway Obstruction in Racehorses.
Animals : an open access journal from MDPI    June 17, 2022   Volume 12, Issue 12 doi: 10.3390/ani12121563
Lo Feudo CM, Stancari G, Collavo F, Stucchi L, Conturba B, Zucca E, Ferrucci F.Dynamic upper airway obstructions (DUAO) are common in racehorses, but their pathogenetic mechanisms have not been completely clarified yet. Multiple studies suggest that alterations of the pharyngo-laryngeal region visible at resting endoscopy may be predictive of the onset of DUAO, and the development of DUAO may be associated with pharyngeal lymphoid hyperplasia (PLH), lower airway inflammation (LAI) and exercise-induced pulmonary hemorrhage (EIPH). The present study aims to investigate the possible relationship between the findings of a complete resting evaluation of the upper and lower ai...
Applicability of the auricular temperature for the assessment of body temperature in healthy large and small domestic species, in a normal metabolic state and in controlled environmental conditions.
Journal of thermal biology    June 9, 2022   Volume 108 103281 doi: 10.1016/j.jtherbio.2022.103281
Giannetto C, Di Pietro S, Pennisi M, Acri G, Piccione G, Giudice E.In clinical practice, an important aspect of animal health status evaluation is the body temperature recording obtained using different methods. Within them, the non-contact and non-invasive infrared thermometer can provide an accurate estimation of body temperature improving the quality of care and medical decision. To evaluate the use of the monitoring of auricular temperature to improve the quality of care and medical decision. To evaluate the use of the monitoring of auricular temperature as indices of body temperature, as well as rectal temperature in eleven clinically healthy mixed bred ...
Focused cardiac ultrasound examination in the emergency and critical care horse: Training for non-specialist veterinarians and evaluation of proficiency.
Journal of veterinary internal medicine    June 3, 2022   Volume 36, Issue 4 1471-1480 doi: 10.1111/jvim.16446
Eberhardt C, Schwarzwald CC.Focused cardiac ultrasound examination (FoCUS) is rapidly emerging for point-of-care cardiac assessment using hand-carried ultrasound (HCU) devices. A specific FoCUS protocol for horses and adequate training guidelines currently are not available. Objective: To gain knowledge about the training necessary to become proficient in performing FoCUS using a HCU device. Methods: Three healthy Warmblood horses were used for practical training of veterinarians and veterinary students in equine focused cardiac ultrasound (eFoCUS). Methods: Prospective educational study. An eFoCUS protocol and 1-day tra...
Association between dynamic upper airway obstructions and fitness parameters in Standardbred racehorses during high-speed treadmill exercise.
Journal of the American Veterinary Medical Association    May 27, 2022   Volume 260, Issue 11 1343-1350 doi: 10.2460/javma.22.02.0072
Lo Feudo CM, Stucchi L, Cavicchioli P, Stancari G, Conturba B, Zucca E, Ferrucci F.To evaluate the association between the severity of dynamic upper airway obstruction (DUAO) and selected fitness parameters in Standardbred racehorses measured by treadmill test. 191 Standardbred racehorses that underwent a standardized diagnostic protocol for poor performance evaluation between 2002 and 2021 at the Veterinary Teaching Hospital, University of Milan. Horses underwent a diagnostic protocol including clinical examination, lameness evaluation, laboratory analyses, ECG, resting upper airway endoscopy, metabolic incremental treadmill test, high-speed treadmill endoscopy, postexercis...
Clinical Effects of the Immunization Protocol Using Loxosceles Venom in Naïve Horses.
Toxins    May 13, 2022   Volume 14, Issue 5 338 doi: 10.3390/toxins14050338
Miranda ALS, Antunes BC, Minozzo JC, Lima SA, Botelho AFM, Campos MTG, Chávez-Olórtegui CD, Soto-Blanco B.Bites of brown spiders ( spp.) are responsible for dermonecrotic lesions and potentially systemic envenoming that can lead to death. The only effective therapy is the use of the antivenom, usually produced in horses. However, little is known about the consequences of the systematic use of the venom and adjuvants and of the bleedings on antivenom-producing horses. Thus, the aim of this study was to evaluate the clinical changes in horses in their first immunization protocol for antivenom production. Eleven healthy horses, never immunized, were evaluated in three different periods: T0 (before ...
Retrospective Analysis of the Use of Tiludronate in Equine Practice: Safety on 1804 Horses, Efficacy on 343 Horses.
Journal of equine veterinary science    May 13, 2022   Volume 115 104007 doi: 10.1016/j.jevs.2022.104007
Tischmacher A, Wilford S, Allen K, Mitchell RD, Parkin T, Denoix JM.The objective of this retrospective study was to assess the safety and efficacy of a slow IV administration of 1mg/kg tiludronate in a large number of horses. Each horse that received at least one tiludronate-based treatment between 2006 and August 2019 at Virginia Equine Imaging or Fairfield Equine was included in the study. Concomitant medical treatments, preliminary nonsteroidal anti-inflammatory drug injection and potential side effects were recorded after each administration. Horses for which follow-up was available over 1 year were subject to clinical evolution assessment via lameness gr...
[Venous catheters in horses – early ultrasonographic venous abnormalities and evidence of biofilms].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    May 6, 2022   Volume 50, Issue 2 101-114 doi: 10.1055/a-1809-6477
Doerffel A, Reinert A, Böttcher D, Winter K, Brehm W, Gittel C.Complications associated with indwelling intravenous catheters vary from minor to severe. Changes in tissue architecture and vein structure may be detectable prior to clinical alterations. The aim of the study was to characterize and compare changes in a catheterized vein and surrounding tissue by clinical and ultrasonographic examination. Microbiological infestation of catheter specimens was assessed. Methods: In this prospective, observational, clinical study 55 horses with an indwelling intravenous catheter have been included. Subsequent to catheter placement, vein and surrounding tissue we...
Who Is Healthy? A Review of How Equine Control Groups Are Defined in Clinical Orthopaedic Research 1999-2021.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    May 5, 2022   Volume 35, Issue 4 213-219 doi: 10.1055/s-0042-1745756
Wrangberg T, Kendall A. Proper identification of healthy subjects is essential in case-control studies. However, standardized definitions of healthy controls are lacking in equine orthopaedic research. Objective:  The aim of this study was to define the non-invasive methods used for selecting healthy control horses in osteoarthritis (OA), desmitis and tendinitis research. Methods:  Systematic review. Case-control studies with a healthy control group and longitudinal studies where horses had to be healthy at the start were included. Studies where joints were visualized by arthroscopy or post-mortem examination ...
Long-Term Outcome of Horses Undergoing Unilateral Mandibular Condylectomy and Meniscectomy for Temporomandibular Joint Disease.
Frontiers in veterinary science    May 2, 2022   Volume 9 898096 doi: 10.3389/fvets.2022.898096
White SA, Canada NC, Carmalt JL, Schumacher J, Amitrano FN, Ortved K, Henry TJ, Brounts SH, Arnold CE.There are no reports describing the long-term outcome of sport horses undergoing unilateral mandibular condylectomy with meniscectomy (UMC) for treatment for severe temporomandibular joint (TMJ) disease (TMD). Whether horses undergoing UMC require a specialized diet, can return to riding with a bit, or return to intended function after surgery is unknown. Unassigned: To determine the long-term outcome of horses undergoing UMC for treatment of severe TMD. Unassigned: A multi-institutional, retrospective study. Unassigned: Medical records obtained from seven equine referral hospitals of horses w...
The position of ground electrode affects electrocardiographic parameters in horses.
Veterinary world    April 27, 2022   Volume 15, Issue 4 1107-1112 doi: 10.14202/vetworld.2022.1107-1112
Kenchaiwong W, Sangpo P, Kusol A, Pontaema T, Lerdweeraphon W.Improper attachment of the grounding lead is one of the artifacts and causes difficulty in interpretation of ECG. This study aimed to examine the effects of the position of a ground electrode on electrocardiographic (ECG) parameters in horses. Unassigned: Sixteen Arabian horses without any cardiac problems were included in this study. The animals were divided into two groups, the base-apex lead method 1 (BA1 method) and the base-apex lead method 2 (BA2 method) with the reposition of the ground limb electrode to the xiphoid. ECG recordings (paper speed=25 mm/s and calibration=10 mm/mV) were per...
Shivering and Stringhalt in horses.
Veterinary journal (London, England : 1997)    April 21, 2022   Volume 282 105829 doi: 10.1016/j.tvjl.2022.105829
Valberg SJ, Baird JD.Pelvic limb movement disorders unrelated to lameness or proprioceptive ataxia have been described in horses for centuries. The two best described are Shivering and Stringhalt. Shivering is unique in that it is primarily apparent when horses are asked to walk backward, without affecting forward gaits until quite advanced. Horses exhibit abduction and either hyperflexion or marked hyperextension of one or both pelvic limbs when walking backward, resulting in a pause at the peak of the stride cycle and reluctance to move backward. Generally, Stringhalt differs from Shivering in that it produces c...
Effect of Romanowsky-Stained Concentrated Preparations versus Direct Smears on Veterinary Students’ Ability to Identify Bacterial Sepsis in Fluid Cytology Samples from Dogs, Cats, and Horses.
Journal of veterinary medical education    April 18, 2022   Volume 50, Issue 2 228-233 doi: 10.3138/jvme-2021-0138
Hough VA, Wycislo KL, Hofmeister EH, Piech TL, Maki LC, Shaver SL.Veterinary students' accuracy, confidence, and time required to diagnose bacterial sepsis in fluid cytology samples was evaluated using two different slide preparation methods: direct smears and cytocentrifuged concentrated preparations. We hypothesized veterinary students would diagnose fluids as septic on concentrated preparations more accurately and quickly than on direct smears. Thirty third- and fourth-year students who had previously participated in a clinical pathology course completed a survey regarding general cytology experience and reviewed 40 randomized Romanowsky-stained slides vi...
Dorsally placed commercially available subpalpebral lavage systems have low complication rates in horses.
Journal of the American Veterinary Medical Association    April 15, 2022   Volume 260, Issue 9 1057-1062 doi: 10.2460/javma.22.01.0007
Stewart RM, Lack AC, Telle MR, Ellis JK, Betbeze CM.To retrospectively evaluate the complication rate following dorsal placement of a commercially available 1-hole subpalpebral lavage system (SPL) at a veterinary teaching hospital. 102 client-owned horses with ophthalmic disease. Medical records of horses (2010 to 2020) with ophthalmic disease were reviewed to determine whether a commercially available SPL system was dorsally placed. Data collected from the medical record included signalment, presenting complaint(s), diagnosis, ophthalmic procedures performed, SPL laterality, hospital service that placed the SPL, anesthetic technique for placem...
Assessment of agreement using the equine glandular gastric disease grading system in 84 cases.
Veterinary medicine and science    April 12, 2022   Volume 8, Issue 4 1472-1477 doi: 10.1002/vms3.807
Pratt S, Bowen I, Hallowell G, Shipman E, Redpath A.Equine glandular gastric disease (EGGD) is a common condition causing signs of gastric pain although lesions are highly variable in their appearance. The only definitive method to diagnose EGGD ante-mortem is gastroscopy. The current recommended method for describing these lesions is the European College of Equine Internal Medicine (ECEIM) guidelines; however, repeatability between users is variable. This study aimed to validate the reliability of lesion descriptions using ECEIM consensus guidelines, using four blinded equine internal medicine diplomates. Ninety-two horses with EGGD with pre- ...
The role of impaired acrosomal exocytosis (IAE) in stallion subfertility: A retrospective analysis of the clinical condition, and an update on its diagnosis by high throughput technologies.
Theriogenology    April 11, 2022   Volume 186 40-49 doi: 10.1016/j.theriogenology.2022.03.007
Hernández-Avilés C, Castaneda C, Raudsepp T, Varner DD, Love CC.Acrosomal dysfunction has been considered as a cause of subfertility in males of different species, including stallions. A subset of subfertile stallions with acrosomal dysfunction is unique because they have normal sperm quality (motility, morphology, viability, and DNA quality). The current work aims to describe the clinical characteristics of subfertile stallions that were diagnosed with Impaired Acrosomal Exocytosis (IAE) by using two high throughput methods: flow cytometry and molecular genetic analysis, and to identify the prevalence of subfertility due to IAE in stallions evaluated at T...
Effect of Transvaginal Aspiration of Oocytes on Blood And Peritoneal Fluid Parameters in Mares.
Journal of equine veterinary science    April 10, 2022   Volume 114 103949 doi: 10.1016/j.jevs.2022.103949
Orellana-Guerrero D, Dini P, Santos E, de la Fuente A, Meyers S, Koshak S, Dujovne G.Transvaginal aspiration of oocytes (TVA) is a commonly used clinical procedure to obtain oocytes for in vitro production of embryos in horses. The goal of this study was to evaluate the effect of the TVA procedure on blood and peritoneal parameters, and to investigate the association of these findings with variables such as use of antibiotics, number of ovarian punctures, and length of the procedure. Physical examination was performed and blood and peritoneal fluid were obtained from 14 mares before they underwent TVA and the same parameters were assessed 24 hours after the procedure. On exami...
Packed cell volume and heart rate to predict medical and surgical cases and their short-term survival in horses with gastrointestinal-induced colic.
The Canadian veterinary journal = La revue veterinaire canadienne    April 5, 2022   Volume 63, Issue 4 365-372 
Kos VK, Kramaric P, Brloznik M.The objective of this prospective case-control study of 125 horses with gastrointestinal tract-induced colic was to determine whether heart rate (HR) and packed cell volume (PCV) can predict surgical medical treatment and its short-term survival (time of discharge of the patient). Sixty-four horses were treated medically and 61 surgically (29 small intestinal and 32 large intestinal cases). At admission, both PCV and HR were higher in horses treated surgically than in horses treated medically; however, with longer duration of colic before presentation, the PCV was higher in the small intestin...
Complex central nervous system malformations in a Dutch Warmblood foal.
Journal of veterinary internal medicine    April 1, 2022   Volume 36, Issue 3 1173-1178 doi: 10.1111/jvim.16407
Louie EW, Streeter R, Story M, Scrivani PV, Barrett M, Mullen KR.A neonatal Dutch Warmblood colt was evaluated for inability to stand, incoordination and intention tremor. Despite partial improvement in clinical signs during the first 4 days of hospitalization, neurological deficits remained. Magnetic resonance imaging identified a unilateral infratentorial arachnoid cyst-like lesion with ipsilateral compression and displacement of the cerebellar hemisphere, absent corpus collosum, polymicrogyria, suspect leukoencephalopathy, and noncompressive occipitoatlantal malformation. Improvement in clinical signs during the first 6 months of life suggests that ho...
Predictors of laminitis development in a cohort of nonlaminitic ponies.
Equine veterinary journal    April 1, 2022   Volume 55, Issue 1 12-23 doi: 10.1111/evj.13572
Knowles EJ, Elliott J, Harris PA, Chang YM, Menzies-Gow NJ.Quantifying risk factors for laminitis development requires improvement. Objective: To identify the most useful physical examination, metabolic and management factors to predict laminitis development in client-owned, nonlaminitic ponies. Methods: Prospective cohort study. Methods: Physical examination, metabolic and management data were collected from a pony cohort 6 monthly for up to 4 years. Ponies were monitored for the development of laminitis. Metabolic data included basal plasma concentrations of ACTH ([ACTH]), adiponectin ([adiponectin]), triglycerides and glucose. Serum insulin concen...
Effect of a combination of butorphanol and detomidine on endoscopic assessment of laryngeal function in Thoroughbred yearlings.
The Veterinary record    March 29, 2022   Volume 190, Issue 9 e1483 doi: 10.1002/vetr.1483
Almonte H, Schumacher J, Johnson CR, Berk JT, Bell RP.To the authors' knowledge, the effect of a combination of butorphanol tartrate and detomidine hydrochloride on the laryngeal function and symmetry of the arytenoid cartilages in young Thoroughbred horses has not been examined. Therefore, this study aimed to examine the effects of administration of butorphanol and detomidine on left-to-right rima glottidis ratio (L:R RGR), cross-sectional area of the rima glottidis (CSARG) and grade of laryngeal function of Thoroughbred yearlings examined endoscopically at rest. Forty-six Thoroughbred yearlings underwent laryngeal video endoscopy, at rest, befo...
Development of an Ultrasound Technique to Evaluate the Popliteal Complex in the Horse.
Animals : an open access journal from MDPI    March 22, 2022   Volume 12, Issue 7 800 doi: 10.3390/ani12070800
Møller-Jensen M, Blomquist MH, Mortensen CL, Olsson IKC, Cuevas-Ramos G.The popliteal tendon and muscle are major stabilizers of the human and dog knee, more specifically the postero-lateral corner. Injury to this complex causes posterior knee pain, and it is generally associated with other injured structures such as the lateral collateral ligament, lateral meniscus, and/or the cranial cruciate ligament. The popliteal complex is poorly reported in the horse, and its specific function has not been determined. Nevertheless, it is likely that it is similar to that of other species, and that injury to it could have similar clinical repercussions. Lameness due to stifl...
Inflammatory Response and Electrocardiographic Examination in Horses Vaccinated against Equine Herpesvirus (Ehv-1).
Animals : an open access journal from MDPI    March 19, 2022   Volume 12, Issue 6 778 doi: 10.3390/ani12060778
Biondi V, Landi A, Pugliese M, Merola G, Passantino A.This study aimed to evaluate possible abnormalities in electrocardiographic findings, and changes in cardiac troponin I (cTnI) and inflammatory biomarkers (serum amyloid A (SAA) and C-reactive protein (CRP)) after inactivated herpesvirus vaccine administration. Eighteen healthy horses were included. All animals were vaccinated with Pneumoequine (Merial, France) according to the protocol provided by the manufacturer. They were evaluated 1 day before the first dose of vaccination (D0), and 7 days (D1) and 14 days (D2) afterwards. At D0, D1, and D2, a blood sample was taken for the evaluation of ...
Pharmacokinetics, Safety, and Synovial Fluid Concentrations of Single- and Multiple-Dose Oral Administration of 1 and 3 mg/kg Cannabidiol in Horses.
Journal of equine veterinary science    March 18, 2022   Volume 113 103933 doi: 10.1016/j.jevs.2022.103933
Yocom AF, O'Fallon ES, Gustafson DL, Contino EK.Cannabidiol (CBD) products are widely marketed to horse owners, trainers, and veterinarians and are readily available to the consumer despite minimal pharmacokinetic or safety data being available. The objectives of this study were to determine the plasma pharmacokinetics, short-term safety, and synovial fluid levels of CBD following oral administration in horses. A prospective, randomized, controlled study design was used. Twelve horses were administered sunflower lecithin oil-based CBD at either 1 mg/kg (Group 1) or 3 mg/kg (Group 2) for a 24-hour pharmacokinetic study. Horses then received ...
Aerobic Commensal Conjunctival Microflora in Healthy Donkeys.
Animals : an open access journal from MDPI    March 17, 2022   Volume 12, Issue 6 756 doi: 10.3390/ani12060756
Fraczkowska K, Zak-Bochenek A, Siwinska N, Rypula K, Ploneczka-Janeczko K.From a clinical point of view, knowledge of the commensal microbial flora of the conjunctival sac in healthy individuals proves to be of great importance. The aim of this study was to assess the presence and the composition of normal ocular microflora of healthy donkeys. Fourteen clinically healthy donkeys () participated in the study. After prior ophthalmological examination, which showed no abnormalities, a conjunctival swab was taken from each donkey from the right and left eye. Species-specific identification was based on a morphological assessment of bacterial colonies stained with the Gr...
Comparison of cervical epidural morphine with intravenous morphine administration on antinociception in adult horses using thermal threshold testing.
Veterinary anaesthesia and analgesia    March 16, 2022   Volume 49, Issue 4 417-422 doi: 10.1016/j.vaa.2022.03.003
Hopster K, Watkins AR, Hurcombe SD.To compare the antinociceptive effects of morphine administered via cervical epidural catheter to intravenously administered morphine using a thermal threshold (TT) testing model in healthy adult horses. Methods: Prospective, randomized, blinded experimental study. Methods: A total of six university-owned adult horses. Methods: Horses were instrumented with a cervical (C1-C2) epidural catheter and TT testing device with probes at withers and thoracic limb coronary bands. All horses underwent three TT testing cycles including cervical epidural morphine administration (treatment EpiM; 0.1 mg kg-...
Special section on diseases of the equine gastrointestinal tract. Navarro MA, Arroyo LG, Uzal FA.No abstract available
Imaging of the Urinary Tract.
The Veterinary clinics of North America. Equine practice    March 10, 2022   Volume 38, Issue 1 123-140 doi: 10.1016/j.cveq.2021.11.009
Cercone M.This article provides a comprehensive review of imaging techniques used to evaluate the equine urinary tract. This overview includes officially recognized modalities and new applications reported in the most current literature. Technical aspects and indications for use of endoscopy and ultrasonography are highlighted. Normal endoscopic and ultrasonographic appearance of the upper and lower urinary tract is described, with characterization of common abnormalities found in patients with hematuria, stranguria, and renal failure. Visual examples of several pathologic conditions from clinical cases...
Urinary Tract Disorders of Foals.
The Veterinary clinics of North America. Equine practice    March 10, 2022   Volume 38, Issue 1 47-56 doi: 10.1016/j.cveq.2021.11.004
DeNotta SL.Urinary disease in the neonatal period can occur with primary congenital renal defects or as a secondary consequence of birth trauma, ischemic injury, nephrotoxic medications, or systemic illness. This article reviews the clinical evaluation of the urinary system in foals and highlights diagnostic and therapeutic features of the most commonly encountered urinary disorders of the equine neonatal patient.
Surgery of the Equine Urinary Tract.
The Veterinary clinics of North America. Equine practice    March 10, 2022   Volume 38, Issue 1 141-153 doi: 10.1016/j.cveq.2021.11.010
Fubini SL, Delco M.Urinary surgery in the horse may be challenging. More straightforward procedures, such as urinary bladder or urachal defects, do not usually require specialized equipment or imaging, although laboratory work is helpful. Congenital or acquired conditions of the ureters or kidneys may necessitate advanced diagnostic work-ups including advanced imaging /or and minimally invasive procedures. Some surgery of the lower urinary tract is done in the sedated, standing adult horse. Surgery involving the kidney typically requires general anesthesia. Laparoscopy and associated tools are frequently used. A...
Full-thickness endotracheal tube defect resulting in an anaesthetic circuit leak.
Equine veterinary journal    March 10, 2022   Volume 55, Issue 1 66-68 doi: 10.1111/evj.13569
Miller L, Lord S.Loss of endotracheal tube (ETT) integrity secondary to dental damage is reported in the human literature. Objective: To describe this problem in equine anaesthesia. Methods: Case report. Conclusions: An 18-year-old Standardbred gelding presented out of hours with colic signs. Findings on clinical examination and pain refractory to analgesia meant that exploratory laparotomy was elected for. Prior to general anaesthesia (GA) leak testing of the anaesthetic machine was performed and the pilot balloon of the endotracheal tube (ETT) was inflated to confirm cuff integrity. Intermittent-positive pre...
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